Samantha H. Wangner, MS, LAT, ATC, PES
Individual provider Active NPI Athletic Trainer · Ferrum, VA
NPI 1437660974 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1437660974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126003242 (VA)
- Practice address
- 215 Ferrum Mountain Rd
Ferrum, VA 24088-2612 - Phone
- (540) 365-4353
- Fax
- (540) 365-4353
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003242 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126003242 | VA | Yes |
Addresses
Primary practice location
215 Ferrum Mountain Rd
Ferrum, VA 24088-2612
Mailing address
1554 Teal Way
Woodbridge, VA 22191-3731
Phone (571) 244-3547
Other providers in Ferrum, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.